Democrat and Chronicle from Rochester, New York on October 18, 2015 · Page Z1
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Democrat and Chronicle from Rochester, New York · Page Z1

Rochester, New York
Issue Date:
Sunday, October 18, 2015
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Antibiotics are prescribed incorrectly to ailing nursing home residents up to 75% of the time, the nation’s public health watchdog says. The reasons vary — wrong drug, wrong dose, wrong duration or just unnecessarily — but the consequences are scary, warns the Centers for Disease Control and Prevention. Overused antibiotics over time lose their e ectiveness against the infections they were designed to treat. Some already have. And some antibiotics actually cause life-threatening illnesses on their own. The CDC last month advised all nursing homes to do more — immediately — to protect more than 4 million residents from hard-to-treat superbugs that are growing in number and resist antibiotics. Antibiotic-resistant infections threaten everyone, but elderly people in nursing homes are especially at risk because their bodies don’t fight infections as well. The CDC counts 18 top antibiotic-resistant infectionsthat sicken more than 2 million people a year and kill 23,000. Those infections contribute to deaths in many more cases. The CDC is launching a public education campaign for nursing homes aimed at preventing more bacterial and viral infections from starting and stopping others from spreading. A similar effort was rolled out for hospitals last year. “One way to keep older Americans safe from these super- bugs is to make sure antibiotics are used appropriately all the time and everywhere, particularly in nursing homes,” said CDC Director Tom Frieden in announcing the initiative. Studies have estimatedantibi- otics are prescribed inappropriately 40% to 75% of the time in nursing homes. Here’s why that worries the CDC: Every time someone takes antibiotics, sensitive bacteria are killed but resistant bacteria survive and multiply — and they can Nursing homeresidents face risks from antibiotics’ misuse Antibiotic-resistant infections sicken millions and can kill GETTY IMAGES/ISTOCKPHOTO Lisa Gillespie Kaiser Health News v STORY CONTINUES ON 2B 75% of prescribed antibiotics for nursing home residents are incorrect. Reasons include wrong drug dose, wrong duration or an unnecessary prescription. 23,000 PEOPLE a year are killed by 18 top antibiotic- resistant infections that sicken more than 2million people . ACCUWEATHER The first cold snap of the season brought chilly temperatures to the north-central and northeastern U.S. USA TODAY— DEMOCRATANDCHRONICLE E3 SECTION B 10.18.15 USA SNAPSHOTS © Tight squeeze Sources; JAMA 18.4 inches inches inches Average width Average width Average width of long-haul of l ong-haul economy-class economy-class economy-class seat on seat on U.S. airlines U.S. ai rlines 38.4 inches Average U.S. adult waistline TERRY BYRNE AND PAUL TRAP, USA TODAY JON SWARTZ, USA TODAY Blooming tech scene in Ireland IN MONEY Carrie Underwood turns a page in ‘Storyteller’ RANDEE ST NICHOLAS IN LIFE This is an edition of USA TODAY provided for DemocratandChronicle. An expanded version of USA TODAY is available at newsstands or by subscription, and at Find USA TODAY Sports in today’s local sports section. The first widespread cold snap of the season made for a chilly weekend across much of the north-central and northeastern U.S. Light snow was due to fall near the Great Lakes and in the mountains of the Northeast. Frost and freeze warnings were posted in the upper Midwest and Ohio Valley, the National Weather Service said, ending the growing season in those areas. The first frost and freeze aimed for the suburbs of major cities along Interstate 95 from Virginia to Maine, AccuWeather said. Roughly 74 million people could see temperatures drop to freezing or below-freezing in the next several days, WeatherBell meteorologist Ryan Maue said. High temperatures were expected to reach the 40s and 50s on Sunday, making for some cool weather for college and pro football games in the upper Midwest and Northeast. The chilly temperatures were likely a shock for many after a remarkably mild autumn so far in the area, AccuWeather said. In addition to the cool air, light snow was forecast in portions of western Pennsylvania, Upstate New York and northern New England through Sunday. Only an inch or so were likely in many areas, the Weather Channel said. The heaviest snow, 3-5 inches, was predicted for northern New England. “There could be sporadic power outages, where leaves have remained on the trees in the higher elevations and the snow weighs down the branches,” said Accu- Weather chief meteorologist Elliot Abrams. The chill won’t last, as above- average temperatures are likely across much of the USA by the middle or end of the week, the Climate Prediction Center said. Snap! Frost, snow shaking Northeast from autumnal lull Doyle Rice USA TODAY u ABC This Week: Democratic presidential candidate Bernie Sanders; Republican presidential candidate Ben Carson; Reps. Adam Kinzinger, R-Ill., and Tulsi Gabbard, D-Hawaii u NBC Meet the Press: Republican presidential candidate Ted Cruz; Reps. Adam Schiff, D-Calif., and Mike Pompeo, R-Kan. u CBS Face the Nation: Reps. Trey Gowdy, R-S.C., and Elijah Cummings, D-Md. u CNN State of the Union: 2012 Republican presidential nominee Mitt Romney u Fox News Sunday: Republican presidential candidate Donald Trump TODAY ON TV Joaquin “El Chapo” Guzman, the elusive Mexican drug kingpin who escaped from a high-security prison in July, was injured in his leg and face during a “head- longflight” as authorities recently closed in on his mountain hide-out,Mexico’s National Security Cabinet confirmed in a statement late Friday. The government said Guzman was not wounded in a direct confrontation with law enforcement agencies but during a hasty retreat as Mexican marines moved to surround his location. Guzman is known by the nickname “El Chapo” or, in English, “Shorty.” The brief statement came in response to a report from NBC Newsthat Guzman had been hurt while evading capture last week. The statement by Mexico’s security Cabinet provided no details on when or exactly where the operation took place. It said only that information-sharing with international agencies had led authorities to zero in on Guzman in northwestern Mexico. “As a result of these actions, and to avoid his capture, in recent days, the fugitive engaged in ahasty retreat, which, according to the information received, caused him injuries to one leg and the face,” the statement said. “It’s important to clarify that these injuries were not a product of a direct clash,” the statement added, without elaboration. NBC, quoting three sources with knowledge of the operation, reported that an operation by Mexican marines was mounted after U.S. drug agents intercepted cellphone signals suggesting he was hiding at a ranch near Cosala in the Sierra Madre mountains. Guzman and his accomplices apparently fled on ATVs. On Thursday, Sinaloa Gov. Mario López Valdez and military commander Gen. Alfonso Duarte Mujica confirmed that Guzman was the object of amilitary operation that began last week, Mexico News Daily reports. Guzmanfled on July 11 from a prison near Mexico City by escaping through atunnel that ended beneath a shower stall in his cell. Mexico says ‘El Chapo’ hurt, on the run Drug lord was injured in hasty exit while o�cials closed in Doug Stanglin USA TODAY AFP/GETTY IMAGES Joaquin Guzman States around the country are on the verge of passing laws to crack down on “sanctuary cities” that protect undocumented immigrants from being deported. The e orts are a broad response to the death in July of Kathryn Steinle of San Francisco. An undocumented immigrant who had been released from jail instead of handed over to federal immigration o�cials is accused of shooting Steinle. Her death, publicized by Republican presidential front-runner Donald Trump and others, brought sanctuary cities into the national spotlight, prompting politicians in Congress, state legislatures and local governments to call for sweeping changes. The U.S. House of Representatives passed a bill in July that would crack down on those cities, and the Senate is scheduled to take up the bill this week. After three months of hearings and intense debate, the first state law targeting sanctuary cities is about to be signed in North Carolina. State Rep. George Cleveland, R-Jacksonville, said it took Steinle’s death to get enough legislators on board to pass his bill, which Republican Gov. Pat McCrory is likely to sign into law this month. “Everyone says, ‘It’s a federal government problem.’ No, it isn’t. The federal government is not doing its job, so it’s our problem,” Cleveland said. “We’ve become so MARK WILSON,GETTY IMAGES Awoman touches the shoulder of Liz Sullivan, mother of Kathryn Steinle. An illegal immigrant is charged in Steinle’s killing. POOL PHOTO BY MICHAEL MACOR Murder suspect Francisco Sanchez is arraigned in San Francisco on July 7. STATES TARGETING ‘SANCTUARY CITIES’ Communities resist federal program that led to deportations Alan Gomez USA TODAY v STORY CONTINUES ON 2B

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